How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $33.11 Median $912.01 Typical High $3,801.89 | Facility | None | $33.11 | $912.01 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $36.31 Typical High $38.90 | Professional | None (both parts) | $24.55 | $36.31 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $5.13 Typical High $5.25 | Professional | 26 · Professional part | $3.39 | $5.13 | $5.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $30.90 Typical High $35.48 | Professional | TC · Technical part | $21.38 | $30.90 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $5.62 Typical High $6.03 | Professional | 26 · Professional part | $5.62 | $5.62 | $6.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $478.63 | Facility | None | $457.09 | $478.63 | $478.63 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $74.13 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $54.95 Typical High $204.17 | Professional | None (both parts) | $25.12 | $54.95 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $7.41 Typical High $7.94 | Professional | 26 · Professional part | $3.39 | $7.41 | $7.94 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $46.77 Typical High $190.55 | Professional | TC · Technical part | $22.39 | $46.77 | $190.55 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $66.07 Typical High $83.18 | Facility | None | $38.90 | $66.07 | $83.18 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.20 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $30.20 | $724.44 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $3.80 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $3.80 | $288.40 | $288.40 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $660.69 Typical High $660.69 | Professional | TC · Technical part | $26.30 | $660.69 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $37.15 Typical High $114.82 | Professional | None (both parts) | $25.12 | $37.15 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $4.90 Typical High $7.08 | Professional | 26 · Professional part | $3.24 | $4.90 | $7.08 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $32.36 Typical High $102.33 | Professional | TC · Technical part | $21.88 | $32.36 | $102.33 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $18.20 Typical High $18.62 | Professional | 52 · Reduced service | $12.30 | $18.20 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $7.24 Typical High $7.41 | Professional | 53 · Discontinued | $4.90 | $7.24 | $7.41 |
Where Kansas sits
The same service costs 2.9 times more in Kansas than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kansas· 1st of 51
$74.13
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.